FOUNDATION FOR SPRINGFIELD PUBLIC SCHOOLS



Foundation for Springfield Public Schools

JJ Memorial Scholarship

APPLICATION (must be typed)

Please answer each of the following:

Name:_____________________________________________ Birth Date: ___________

First Middle initial Last

Home Address:__________________________________________________________

Street # City State Zip

Home Phone: _______________________ Cell Phone: ______________________

Email Address: __________________________________

The Springfield Public School At Which You Are Employed:____________________________

Position:_______________________________________

Principal:______________________________________

Please highlight your educational background, work experience, and any other information you would like to share about your background in the field of special education (you may attach another sheet to this application):

Please state the degree you are seeking: _____________________________________________

Which educational institution will you be attending? ___________________________________

Please return this application along with your transcript and two letters of recommendation from supervisors, administrators, professors, or instructors to:

The Foundation for Springfield Public Schools

1131 Boonville

Springfield, MO 65802

Fax: 417.523.0040

Deadline for Application is: Applications should be received at the Foundation Office no later than March 15th at 5:00 p.m. by fax, mail, or email.

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